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Mrs. Kim Marie Smith, LCSW,LMFT
Mental Health Counselor in Fort Wayne, Indiana
NPI 1558493056

Kim Marie Smith is a Mental Health Counselor based in Fort Wayne, IN and is specialized in Mental Health. Kim Marie Smith practices in Fort Wayne, IN and has the professional credentials of LCSW,LMFT. The NPI Number for Kim Marie Smith is 1558493056 and holds a License No. 34002738A (Indiana).

The current practice location address for Kim Marie Smith is 3266 Mallard Cove Ln, Fort Wayne, IN and can be reached out via phone at 260-436-5986 and via fax at 260-436-1859.

Location: 3266 Mallard Cove Ln, Fort Wayne, IN, 46804-2883
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Provider Profile Details
NPI Number
1558493056
Provider Name
Kim Marie Smith
Credential
LCSW,LMFT
Provider Entity Type
Individual
Gender
Female
Address
3266 Mallard Cove Ln, Fort Wayne, IN, 46804-2883
Phone Number
260-436-5986
Fax Number
260-436-1859
Provider Enumeration Date
03/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000200512 01 IN ANTHEM BLUE CROSS BLUE SH
090831 01 MHN
institution
Provider Business Practice Location Address Details
Address
3266 Mallard Cove Ln
City
State
Zip
46804-2883
Phone Number
260-436-5986
Fax Number
260-436-1859
person
Provider Business Mailing Address Details
Address
3266 Mallard Cove Ln
City
State
Zip
46804-2883
Phone Number
260-436-5986
Fax Number
260-436-1859
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
34002738A (Indiana)
Definition
Definition to come...
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